Acthar Gel for Active Systemic Lupus Erythematosus (SLE)

NCT ID: NCT02953821

Last Updated: 2020-08-20

Study Results

Results available

Outcome measurements, participant flow, baseline characteristics, and adverse events have been published for this study.

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

172 participants

Study Classification

INTERVENTIONAL

Study Start Date

2016-12-16

Study Completion Date

2019-10-25

Brief Summary

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This trial is to study Acthar Gel in participants with active systemic lupus erythematosus (SLE).

The doctor will assign eligible patients to one of two groups (like flipping a coin).

Participants will receive the treatment assigned to their group for 24 weeks:

* Acthar Gel
* Placebo Gel, which looks like Acthar Gel, but has no medicine in it.

The doctor or his staff will take measurements and ask questions to:

* see how well the gel is working
* see how safe it is for patients with SLE

Detailed Description

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This trial was initiated (started recruiting) in October 2016, but first patient was not enrolled (randomized) until December, 2016.

Conditions

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Lupus Erythematosus, Systemic

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Investigators

Study Groups

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Acthar Gel

Participants receive Acthar Gel every other day for 4 weeks, and then twice per week for 20 weeks

Group Type EXPERIMENTAL

Acthar Gel

Intervention Type DRUG

1 mL (80 Units) given by a shot under the skin (via subcutaneous injection)

Placebo Gel

Participants receive Placebo Gel every other day for 4 weeks, and then twice per week for 20 weeks

Group Type PLACEBO_COMPARATOR

Placebo Gel

Intervention Type DRUG

1 mL (0 Units) given by a shot under the skin (via subcutaneous injection)

Interventions

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Acthar Gel

1 mL (80 Units) given by a shot under the skin (via subcutaneous injection)

Intervention Type DRUG

Placebo Gel

1 mL (0 Units) given by a shot under the skin (via subcutaneous injection)

Intervention Type DRUG

Other Intervention Names

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Repository corticotropin Matching placebo

Eligibility Criteria

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Inclusion Criteria

To be eligible to participate in this trial, a patient must:

* Have a diagnosis of SLE according to 4 of the American College of Rheumatology revised criteria
* Have active SLE
* Have moderate to severe rash and/or arthritis as demonstrated by BILAG-2004 score A or B in the mucocutaneous and/or musculoskeletal body systems at both Screening and Randomization Visits
* Have a documented history or screening result of

1. positive antinuclear antibody (ANA), OR
2. elevated anti-dsDNA or extractable nuclear antigen (ENA) antibodies
* Have been on prednisone (or prednisone equivalent) before the screening visit:

1. at least 8 weeks, and
2. at a stable dose of 7.5 mg to 30 mg for at least 4 weeks

Exclusion Criteria

A patient is not eligible to participate if he/she:

* Has a history of sensitivity to adrenocorticotropic hormone (ACTH) preparations or porcine products
* Has active lupus nephritis
* Has active central nervous system (CNS) manifestations of SLE
Minimum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Mallinckrodt

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Global Clinical Leader

Role: STUDY_DIRECTOR

Mallinckrodt

Locations

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C.V. Mehta MD Medical Corporation

Hemet, California, United States

Site Status

Inland Rheumatology Clinical Trials

Upland, California, United States

Site Status

Center for Rheumatology Immunology and Arthritis

Fort Lauderdale, Florida, United States

Site Status

San Marcus Research Clinic

Miami, Florida, United States

Site Status

Advanced Pharma CR

Miami, Florida, United States

Site Status

Millennium Research

Ormond Beach, Florida, United States

Site Status

Office of George Timothy Kelly MD

Las Vegas, Nevada, United States

Site Status

NewYork-Presbyterian Columbia University Medical Center

New York, New York, United States

Site Status

DJL Clinical Research

Charlotte, North Carolina, United States

Site Status

Paramount Medical Research & Consulting

Middleburg Heights, Ohio, United States

Site Status

Arthritis & Rheumatology Center of Oklahoma

Oklahoma City, Oklahoma, United States

Site Status

Altoona Center for Clinical Research

Duncansville, Pennsylvania, United States

Site Status

West Tennessee Physicians' Alliance

Jackson, Tennessee, United States

Site Status

Office of Ramesh C. Gupta, MD

Memphis, Tennessee, United States

Site Status

Accurate Clinical Research

Houston, Texas, United States

Site Status

Sun Research Institute

San Antonio, Texas, United States

Site Status

Aprillus Asistencia e Investigación

Buenos Aires, , Argentina

Site Status

Consultorios Médicos Dr. Catalán Pellet

Buenos Aires, , Argentina

Site Status

Centro Medico Privado de Reumatología

San Miguel de Tucumán, , Argentina

Site Status

Biomedica Research Group

Santiago, , Chile

Site Status

Antiguo Hospital Civil de Guadalajara Fray Antonio Alcalde

Guadalajara, Jalisco, Mexico

Site Status

IBIOMED Research Unit Aguascalientes

Aguascalientes, , Mexico

Site Status

Centro Especializado en Investigación Clínica

Boca del Río, , Mexico

Site Status

Phylasis Clinicas Research S de RL de CV

Cuautitlán Izcalli, , Mexico

Site Status

Instituto de Investigaciones Aplicadas a la Neurociencia A.C.

Durango, , Mexico

Site Status

Unidad de Investigación de las Enfermedades Reumáticas

Mexico City, , Mexico

Site Status

Centro Peninsular de Investigacion Clinica S.C.P.

Mérida, , Mexico

Site Status

Köhler and Milstein Research

Mérida, , Mexico

Site Status

Consultorio de Reumatología

México, , Mexico

Site Status

Centro Integral de Reumatologia

México, , Mexico

Site Status

Accelerium Clinical Research

Monterrey, , Mexico

Site Status

Centro de Estudios Clínicos y Especialidades Médicas

Monterrey, , Mexico

Site Status

SMIQ

Querétaro, , Mexico

Site Status

Centro de Alta Especialidad en Reumatologia e Investigación del Potosí, SC

San Luis Potosí City, , Mexico

Site Status

Investigacion Biomedica para el Desarrollo de Farmacos S.A. de C.V.

Zapopan, , Mexico

Site Status

Investigaciones Clinicas S.A.C. del Instituto de Ginecologia y Reproduccion

Lima, , Peru

Site Status

Clinica Vesalio

San Borja, , Peru

Site Status

Hospital de Apoyo Maria Auxiliadora

San Juán de Miraflores, , Peru

Site Status

Hospital Nacional Cayetano Heredia

San Martín de Porres, , Peru

Site Status

Countries

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United States Argentina Chile Mexico Peru

References

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Askanase AD, Wright D, Zhao E, Zhu J, Bilyk R, Furie RA. Post Hoc Biomarker Analyses from a Phase 4, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Repository Corticotropin Injection (Acthar(R) Gel) for Persistently Active Systemic Lupus Erythematosus. Rheumatol Ther. 2021 Dec;8(4):1871-1886. doi: 10.1007/s40744-021-00351-7. Epub 2021 Sep 3.

Reference Type DERIVED
PMID: 34478124 (View on PubMed)

Askanase AD, Wan GJ, Panaccio MP, Zhao E, Zhu J, Bilyk R, Furie RA. Patient-Reported Outcomes from a Phase 4, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial of Repository Corticotropin Injection (Acthar(R) Gel) for Persistently Active Systemic Lupus Erythematosus. Rheumatol Ther. 2021 Mar;8(1):573-584. doi: 10.1007/s40744-021-00294-z. Epub 2021 Mar 9.

Reference Type DERIVED
PMID: 33687687 (View on PubMed)

Hannon CW, McCourt C, Lima HC, Chen S, Bennett C. Interventions for cutaneous disease in systemic lupus erythematosus. Cochrane Database Syst Rev. 2021 Mar 9;3(3):CD007478. doi: 10.1002/14651858.CD007478.pub2.

Reference Type DERIVED
PMID: 33687069 (View on PubMed)

Askanase AD, Zhao E, Zhu J, Bilyk R, Furie RA. Repository Corticotropin Injection for Persistently Active Systemic Lupus Erythematosus: Results from a Phase 4, Multicenter, Randomized, Double-Blind, Placebo-Controlled Trial. Rheumatol Ther. 2020 Dec;7(4):893-908. doi: 10.1007/s40744-020-00236-1. Epub 2020 Sep 29.

Reference Type DERIVED
PMID: 32996096 (View on PubMed)

Provided Documents

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Document Type: Study Protocol and Statistical Analysis Plan

View Document

Other Identifiers

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MNK14304067

Identifier Type: -

Identifier Source: org_study_id

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